| NPI | 1396449161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: KY 020173) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IN 26027876A) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-03-28 |